Borderline Personality Disorder 2025

CASE STUDY S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one. S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her. S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago. S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments. How would you use therapeutic communication and principles of cognitive behavioral therapy with the client? Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention. What interdisciplinary referrals might be appropriate?

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Teen Pregnancy 2025

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

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CASE STUDY 2025

Discuss the aspects of your chosen vulnerable population. Discuss the reason why is this group considered vulnerable. Discuss what are the most common communicable diseases in this population, and why. Discuss barriers to healthcare and access to care for your vulnerable population. Discuss how the issues this group is facing relates to the community/public health nursing. Examine evidence-based practices that improve health outcomes of the vulnerable population. Use information technology to identify resources that will improve health outcomes of the vulnerable population. 3 (minimum) to 5 (maximum) pages without title page and References. References: 4 references, the text book has to be one of the references

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Discussion Post 2025

Discuss the benefits and disadvantages of a facility using supplemental and floating staff. Would this vary depending on specific units? Why? (Respond to all three parts) Be sure to apply concepts from the readings and research. You must cite (with reference) at least one source: your textbook, scholarly resources, or ATI textbook (no blogs, Wiki, or other school of nursing website) in current APA Style. less than 250 words

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Evidence Based Practice Project 2025

Evidence-Based Practice Research PART 2 Work with your group to complete the EPB Group Research and create a group PowerPoint Presentation. This is a formal 10-12-page research on your EBP practice improvement project (This does not include the title page, abstract, and references). This assignment requires the use of evidence-based references. Preferable systematic reviews, clinical practice guidelines, and protocols, RTCs and other higher level of evidence (See hierarchy) Instructions: Write a 10-12 research that should: Include the body of the research with the following titled sections: Abstract Title (introduction) Background Methods Literature Review Discussion Proposed Change Proposed methods to measure outcomes Conclusion Describe the problem, including purpose and goal of the EBP review (EBP proposal research part 1). Start with a global description of the importance of nursing and narrow your topic to the organizational level. Explain the Background of your problem, definition of the variables. Include any pertinent background and history pertaining to your problem or topic of interest and what has led you to believe this problem is of great significance to the nursing profession. The aim of this section is to help the reader understand the concepts and definitions of your topic of study. Identify your source and method for searching the evidence. Find the highest level of evidence first and then proceed methodically through the hierarchy of evidence to answer the focused question. Remember “Not all evidence is created equal.” That is, we can have more confidence in some types of evidence than in others. Just because the evidence you have may be a study or a clinical guideline published by an organization does not mean that it is the best evidence (i.e., the most objective or the most trustworthy). Refer to the levels of evidence and explain on this section how do you searched and classify the evidence. Why are you trusting the results? Include a review of the literature on your proposed change, practice guidelines or other synthesis reports. Your research should serve as a synthesis of what is currently known about your change, and what is being investigated. Do not simply summarize each of your sources; rather, integrate the information presented, and come up with your own interpretation of the data (you may use tables in this section to summarize the evidence). Discuss , appraise and synthesize evidence. Critical review of all evidence that you will use to support your improvement efforts. Once the evidence is gathered, you must critically appraise each study to ensure its credibility and clinical significance. An easy method for conducting critical appraisal is to answer these three key questions: What were the results of the study? (In other words, what is the evidence?) How valid are the results? (Can they be trusted?) Will the results be helpful in caring for other patients? (Are they transferable?) Include suggestions for improvement/change (Aim) to whatever it is you are researching. For example, If you are proposing policy changes to current urinalysis protocols, how will this policy impact the organization and stakeholders? Patient and/or population expected to benefit directly from improved flow or process. Risk of participation is same as receiving usual care. If risk or burden is higher than with usual care, consider research & IRB State what EBP model will you use to plan for your project. What plans do you have to measure key indicators, what about tools use to measure the outcomes , what is the validity or reliability if any. Measures may include knowledge, attitude, behavior/practices, and outcomes What about the sample? You may propose small but large enough samples to observe changes. What is the feasible for data collection, minimal time needed, resources, costs. How will you conduct the data analysis? Who will be involve in the Organization? Write the conclusion of your research, summarizing the main points and explaining its main purpose. Restate the topic, purpose, main points and the significant of your findings. End this section with the implications for practice make emphasis on the future of your topic.

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